Presentation on theme: "IHIMA ICD-10 UPDATE Presented by: Kathy Craig, RHIA, CCS Certified ICD-10-CM/PCS Trainer Program Chair, HIT Program, Ivy Tech Bloomington (Good afternoon."— Presentation transcript:
1IHIMA ICD-10 UPDATE Presented by: Kathy Craig, RHIA, CCS Certified ICD-10-CM/PCS Trainer Program Chair, HIT Program, Ivy Tech Bloomington(Good afternoon. I’m presenters name insert here, your Indiana Health Information Management Association ICD-10 Update presenter.Our purpose is to introduce the topic of the transition from ICD-9 to ICD-10We hope to provide useful information, illustrate the significance of the transition and communicate consequences of inadequate preparation)
3Coding Categories (continued) Code examplesProcedure Codes Code StructureEach character in the procedure code has a specific meaning (example of medical-surgical code structure)Character 1 - SectionCharacter 2 - Body SystemCharacter 3 - Root OperationCharacter 4 - Body PartCharacter 5 - ApproachCharacter 6 - DeviceCharacter 7 - QualifierCode Example - 0X6K0Z8 - Fifth ray carpometacarpal joint amputation, left hand
4ICD-10-PCS ICD-10-PCS Structure 1 2 3 4 5 6 7 Section Body System Root OperationBody PartApproachDeviceQualifierNow lets move onto the PCSICD-10-PCS Structure
5System Structure 16 Sections Medical and SurgicalObstetricsPlacementAdministrationMeasurement and MonitoringExtracorporeal Assistance and PerformanceExtracorporeal TherapiesOsteopathicOther ProceduresChiropracticImagingNuclear MedicineRadiation OncologyPhysical Rehabilitation and Diagnostic AudiologyMental HealthSubstance Abuse TreatmentRLM.MD 01/ ICD-10-PCS
6First Character Value-Section This character refers to section of which there are 160 value is the medical surgical section1 value is ob2 placement3 administrationEtc…..0 for med surg is the largest section (this is your first character)Each of the 16 sections has a # or letter in front of them for example 0 value is for the med surg section, which is the largest section…Some of the benefits to ICD-10 are listed here. In addition, the use of the ICD-10 classification system, will allow us to achieve benefits of the EHR including design of clinically robust algorithms.I’m going to turn the presentation over to Debbie now to discuss impacts and costs.
7Second Character Value-body system The second character defines the body system, general physiologic system or anatomic region. Some are numerical and some are alphabetic (31 body systems in the med surg section) examples:0 central nervous system1 peripheral nervous system2 heart and great vessels3 Upper arteriesH skin and breast including skin and breas glands and ductsEtc…..
8Third Character Value-Root Operation The third character value is the Root operation 31 root operationsExamples:1 Bypass7 DrainageB ExcisionT ResectionExample: Excision(B) is referring to cutting out or off a portion of the body without replacement whereas Resection(T) is referring to cutting out or off all of a body part.
9Root operations (full list) There are 31 root operations. The root operation is essentially the objective of the procedure. Appendix A of the PCS manual contains tables with the name of the root operation, the definition of the term, and provides examples.
10Fourth Character-body part The fourth value is the body part or specific anatomical site where the procedure was performed. There are 34 body part values in each body system of these valuesYou will locate the table to assign the rest of the code #THIS IS JUST A PIECE OF THE TABLEH: Skin and BreastOperation(3rd character)Body Part(4th character)Approach(5th character)Device(6th character)Qualifier(7th character)0 alteration0 scalp0 open0 drainage device3 full thickness2 changeB skin,Rt up arm3 percutaneousN tissue expander4 partial thicknessB excisionC skin lt up arm7 via natural/artif openingY other deviceX diagnosticT resectionD skin rt lower armX ExternalX no deviceZ no qualifier
11Let’s code… For example: (using what you have learned thusfar) Excision of malignant melanoma from the skin of the left upper armThus far what would our code #’s be?____ _____ _____ _____0 for medical surgeryH for skinB for excisionC skin of left upper arm
12Fifth character-Approach or technique The fifth character value is the approach or technique used to reach the procedure site.7 approaches (these have definitions not fully explained here)0 open (cutting through layers and other body parts)3 percutaneous4 percutaneous endoscopic7 via natural or artificial opening8 “ “ using endoscopeF “ “ “ percutaneous endoscopeX External (performed directly on the skin or mucousmembranes)What is our fifth character?X External
13Sixth character-Device The sixth character is your device characterUsing your abbreviated table, what is our device code?0 for medical surgeryH for skinB for excisionC left upper armX ExternalZ no device
14Seventh character-qualifier The seventh character is your qualifier.These qualifiers provide additional information about a specific attribute of the procedureWhat is our qualifier character for our example?0 for medical surgeryH for skinB for excisionC left upper armX ExternalZ no deviceZ no qualifier
15Your newly built code 0HBCXZZ 0 for medical surgery H for skin B for excisionC left upper armX ExternalZ no deviceZ no qualifierNow let’s get back to the bigger picture of who these 2 systems I10 cm and pcs effect